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talee 离线

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楼主 发表于 2009-12-30 15:04|举报|关注(0)
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骨髓穿刺活检用什么染色? HE?

HE染色各系是否可以看出其特点呢?

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talee 离线

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1 楼    发表于2010-01-01 22:06:00举报|引用
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海燕 离线

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2 楼    发表于2010-05-07 12:40:00举报|引用
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我知道的是:HGE(苏木素-姬木萨-伊)染色

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alivelin 离线

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3 楼    发表于2010-05-07 22:11:00举报|引用
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 骨髓活检树脂包埋吗?可以HE和HGE一起做,这样可以更好的看细胞形态,如果单做HE亦可以分辨出各系细胞,但必须是保证染色良好的情况下。
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侯军 离线

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4 楼    发表于2010-05-08 10:53:00举报|引用
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 We use paraffin embedded tissue block and H&E stain for our bone marrow biopsy. The slides are good for all the routine examinations. The paraffin embedded tissue section can be used for all the special stains including immunohistochemical study. I used the plastic embedded tissue processor many years ago. The only good thing is the plastic embedding can give you very thin sections, about 2-3 micro thick. But it takes very long time to process and can not be used for any imunostain. Not cost-effective.

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5 楼    发表于2010-05-09 08:32:00举报|引用
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以下是引用侯军在2010-5-8 10:53:00的发言:

 We use paraffin embedded tissue block and H&E stain for our bone marrow biopsy. The slides are good for all the routine examinations. The paraffin embedded tissue section can be used for all the special stains including immunohistochemical study. I used the plastic embedded tissue processor many years ago. The only good thing is the plastic embedding can give you very thin sections, about 2-3 micro thick. But it takes very long time to process and can not be used for any imunostain. Not cost-effective.

对骨髓活检我们采用石蜡包埋组织块和HE染色。切片对所有常规检查都是比较好的。石蜡包埋组织切片可以被用于任何特染,包括免疫组化。许多年前我使用过树脂包埋处理仪器。用树脂包埋的唯一好处就是能够制作非常薄的切片,大约2-3微米厚。但是需要非常长的时间来处理,且不能用于免疫组化,不是物美价廉。

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海燕 离线

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6 楼    发表于2010-05-09 19:46:00举报|引用
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 骨髓活检的石蜡包埋,和别的组织处理方法一样吗?需要脱钙吗?

请侯军老师,如果有时间,给我们大家介绍一下吧。我们科的活检是塑料包埋,不能做免疫组化,很受限。特殊染色倒是还可以做。

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moonriver 离线

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7 楼    发表于2010-05-09 20:50:00举报|引用
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学习

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alivelin 离线

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8 楼    发表于2010-05-14 21:32:00举报|引用
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 希望各位老师能多讲讲骨髓的石蜡包埋技术及免疫组化,如果可以当然更希望能够多讲讲形态学及免疫组化结果的判定,谢谢!向各位老师学习!
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侯军 离线

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9 楼    发表于2010-05-16 11:06:00举报|引用
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本帖最后由 于 2010-05-16 11:08:00 编辑 Hi Everyone,
The following is our protocol for Bone marrow biopsy. It is relatively simple and very useful. I am happy with the morphology.
Important Points: 1) fix the core at least one hour, 2) use fast decal, 3) decal 20-30 minutes until it is flexible. determine your own time, 4) getting use to the morphology.
Let me know if any one want to try and any problems. Good luck !!!

Bone Marrow (Drexel University College of Medicine)

Procedure and Gross Description:

Specimen (Bone marrow biopsy) is received in 10% buffered formalin (minimal fixation time:  one hour ) with __ (number) of unstained slides.  Describe grossly number, appearance (color, consistency, uniformity), shape, and size (length and diameter). Put biopsy in a cassette, which is labeled with surgical accession number, patient’s initials, and cassette number. Put the cassette in a plastic container; add 50-100 mL fast decal  (Fisher PROTOCOL Decalfifier B). Let the specimen decal 20-30 minutes (set timer to remind). Wash with tap water 5 minutes, then transfer to container with formalin. Submit for tissue processor.  Order “Panel” for special stain.

Separate specimen of marrow clot should be wrapped with Histowrap (blue paper) if the clot is not firm, then submit entirely without decalcification.

Tissue is processed, embedded, and cut. Each block has 2 slides stained with H & E, one with Giemsa, and one with Iron.  Order Iron stain of one marrow aspirate, and satin 2 aspirate slides with Wright stain.

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海燕 离线

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10 楼    发表于2010-05-16 21:23:00举报|引用
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谢谢侯军老师,我基本读懂了,我再仔细研读!

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